Referring Dentists

For successful Orthodontic Treatment, on-going communication between the general dentist and orthodontist is paramount. We remind Patients of this close relationship and encourage them to visit their dentist at least every six months. To refer a Patient for an Orthodontic Assessment, please complete the on-line Referral Form below. We will contact your Patient and arrange a convenient appointment and keep you informed of the Patient’s Treatment Plan and progress.

Practice Details

Practitioner's Name:*

Practice Phone:*

Practice Address:*

Practice email:*

Patient Details

New patient?* YesNo

Patient's Name:*

Patient's Phone:*

Patient's DOB:

Patient's Address:*

Appointment Details

NHS or private?*NHSPrivate

Select Practice*

Purpose of appointment?*

Additional Details

Your comments:

Send a referral pad?*Yes pleaseNo thanks

Are you an existing Accessible Orthodontic Practice referring dentist?*YesNo

To provide you with written communications confirming our assessment of your patient and recommended treatment options

To refer your patient back to you for any dental work that we require to be carried out as part of their Orthodontic treatment

To remind your patients that they need to maintain regular visits with you during their Orthodontic treatment with us.

Waiting List Information

Currently for our Private Patients there are no waiting lists

Currently for our NHS Patients at our:

Nuneaton Practice there is a 3 month wait before we can see a New Patient and commence their treatment

Oxford Practice there NO waiting lists to see New Patient and commence their treatment

Thame Practice there NO waiting lists to see New Patient and a 3 month wait commence their treatment.

Private Treatment for Your Patients

We can offer your patients a range of private treatment options. Each of our Clinicians provide dedicated Private Only sessions for your patients.

We are proud to be certified Platinum Providers for Incognito Orthodontic treatment.

We are proud to be certified Silver Providers for Incognito Orthodontic treatment

Non NHS Eligible Treatment Options

As you know 35-40% of all NHS patients (children under 18 years) who undertake an Orthodontic assessment are not eligible for treatment under the NHS. We are able to offer these patients a range of private treatment options at significantly reduced costs.